Moukabary Talal, Thai Hoang, Thal Sergio
Southern Arizona VA Health Care System and SARVER Heart Center at University of Arizona, Tucson, Arizona, USA.
J Invasive Cardiol. 2011 Apr;23(4):E83-5.
Implanting new leads for defibrillation or pacing leads could be problematic as a result of venous obstruction. Up to 50% of patients with pacemaker/implantable cardioverter defibrillator leads have an asymptomatic subclavian vein obstruction. Overcoming this obstruction could be very challenging. The current approaches of contralateral access, extraction and surgical intervention have significant drawbacks. This report presents an alternative approach that uses percutaneous subclavian balloon venoplasty successfully to regain venous access. We believe that this technique is safe and effective.
由于静脉阻塞，植入用于除颤或起搏的新导线可能会出现问题。高达50%的起搏器/植入式心脏复律除颤器导线患者存在无症状的锁骨下静脉阻塞。克服这种阻塞可能非常具有挑战性。目前对侧入路、拔除和手术干预的方法存在重大缺陷。本报告介绍了一种替代方法，即成功使用经皮锁骨下球囊血管成形术恢复静脉通路。我们认为该技术安全有效。
